TopMedTalk

Steve Flanagan, Brian Stewart and Colleen Walsh join Desiree Chappelle and Monty Mythen on TopMedTalk in association with The Round Table Perioperative Care Blog. The team discuss physical medicine and rehabilitation, applying a team approach in care and 'pre and post-habilitation'.

Desiree Chappell of The Roundtable blog, with Monty Mythen of TopMedTalk discuss outcomes and patient care, what matters the most? They are joined by two of the guest speakers from the American College of Perioperative Medicine's 2018 conference; Eric J Schneidewind and Kevin Bozic.

Should you have to lose weight before you get a new knee. A short sampler from Desiree's round table discussion with TopMedTalk.

Professor Monty Mythen and the TopMedTalk team have just arrived in Southern California to join Desiree Chappell for the American College of Perioperative Medicine's Interdisciplinary Conference on Orthopedic Value-Based Care (visit here: https://www.transcend.health ). TopMedTalk partners with The Round Table (visit here: http://www.enhancedrecoveryblog.org ) to deliver quality guest interviews a...

Bowel prep has moved on and become "less harmful", patient satisfaction is now part of the process, it wasn't always previously. How is surgical site infection balanced with patient comfort?   Sponsored by EBPOM and EDWARDS life sciences.   This is a piece from the first ever pilot episode of TopMedTalk; Monty couldn't make it to ASER that year so worked with some friends to pick up on the big sto...

Joff Lacey joins Dr Liam Brennan (President, Royal College of Anaesthestists) and Dr Andy Bailey (Addenbrooke's Hospital, Cambridge) on a trip to the birthplace of anaesthesia - the Ether Dome.

The REstrictive Versus LIbEral Fluid Therapy in Major Abdominal Surgery: RELIEF Study (RELIEF) is discussed. How much IV fluid should be used? Will a more restrictive approach be useful? The trial design is discussed, pre-trial surveying, how they went about setting it up and what protocols they followed. Will this trial put to bed the questions about liberal restricted fluid therapy? Can a trial...

A discussion about oxygen and the Xtreme Everest research studies into human adaptation to hypoxia. How does the human body adapt to extreme conditions, we assume it will inevitably cause damage but this is not always the case. How do people who have inherited a tolerance for low levels of oxygen manage? Monty Mythen, Mike Grocott and Joff Lacey are joined by special guest Dr Dan Martin OBE Consul...

Podcast 12: Guest presenter Dr Liam Brennan (President of the Royal College of Anaesthetists) is joined by Dr Gonzalo Barreiro (President of the World Federation of Societies of Anaesthesiologists, WFSA), Julian Gore-Booth (CEO of WFSA) and Dr Paul Clyburn (President of the Association of Anaesthetists of Great Britain and Ireland) to discuss the unmet global need for safe and accessible anaesthes...

A discussion about the importance of screening and risk mitigation regarding cognitive dysfunction and delirium in the perioperative period. Monty Mythen and Mike Grocott are joined by their guests Dr Liam Brennan, President of the Royal College of Anaesthetists, and Dr Fay Gilder, Addenbrooke's, Cambridge. Join the debate: contact@topmedtalk.com

Podcast 10: Monty Mythen, Mike Grocott and Joff Lacey talk to Dr Tim Miller (Duke University Medical Centre) about a recent study investigating the impact of GDFT on postoperative acute kidney injury in the colorectal patient.

Joff Lacey talks to Dr Randall Dull (University of Illinois) to pick apart the physiological principles of intraoperative fluid resuscitation and the need to rethink our approach.

Podcast 8: Joff Lacey is joined by Dr Davinder Ramsingh (Loma Linda University) to discuss the application of ERAS in the cardiac surgical patient.

A discussion regarding the exciting results from the first multicentre, randomised controlled trial into targeted intraoperative blood pressure management. Monty Mythen and Mike Grocott are joined by their guests Dr Dan Sessler, Cleveland Clinic, and Dr Tim Miller, Duke University Medical Centre.

This podcast focuses on the changing role of goal directed fluid therapy in enhanced recovery programmes. There is discussion around the Perioperative Quality Initiative guidelines, assessment of risk and how this relates specifically to laparoscopic surgery. Updates on relevant trials and the importance of risk stratifying patients to ensure goal directed fluid therapy is used on those that stand...

This conversation explores the extended role of the anaesthetist, brought about partly by perioperative care but more widely because of societal changes. Practitioners face a dilemma; how do you best impact value based care, as a specialist, when multidisciplinary approaches are becoming essential? In the UK, The Royal College of Anaesthetists, are working on this very issue; find out how they are...

Anaesthesiology has reached a moment of great change, the discipline is evolving rapidly. With change comes opportunity, this conversation explores the transitional situation experts, practitioners and students find themselves in, how can you best fit into the new world? Renumeration is one changing factor but so is the idea that prevention is a clear goal for people who would like to avoid being...

Discussion about the challenge of delivering patient-centred, value-driven healthcare. Value based care is discussed, value for the patient is emphasised and discussion is had about how much people trust hospitals and doctors. The difference between the perception of healthcare institutions and practitioners in UK and the US is debated.  Perioperative medicine, perioperative surgical home, enhance...

The challenges facing the anaesthesia community as the need for big trials looms large. Why does it take so long for the anaesthesia community to adopt new techniques? Goal directed fluid therapy, as an example, seems to work but involves a cultural change and huge trials before it can be adopted. The Optimisation of Peri-operative Cardiovascular Management to Improve Surgical Outcome II (OPTIMISE...

The largest gathering of anaesthesiologists in the world; feel as if you're there with the TopMedTalk team at ASA 2017. This discussion covers the birth of anaesthesia, in Boston, and its adoption around the world. The contrast between demonstration and adoption in the 1800's and in the modern world is questioned, are we too cautious in adopting new ideas these days? Also - what has been the impac...

TopMedTalk ASA 2017 mission statement. The start of our live coverage from Boston.

Should we still measure urine output? How useful is permissive oliguria? Presented by Professor Monty Mythen and Dr Joff Lacey featuring guests Dr Tim Miller from Duke University Medical Centre and John A. Kellum, Tenured Professor, Critical Care Medicine from The University of Pittsburgh. Join in the debate:  contact@topmedtalk.com This taken from a longer conversation on the subject of periopera...

How do cell cycle arrest biomarkers offer hope? Presented by Professor Monty Mythen and Dr Joff Lacey featuring guests John A. Kellum, Tenured Professor, Critical Care Medicine from The University of Pittsburgh and Dr Tim Miller from Duke University Medical Centre.   Join in the debate:  contact@topmedtalk.com   This piece taken from a longer conversation to be found here:  http://www.topmedtalk.c...